Mwoyo wekukundikana, izvo zvinowedzera kukanganisa kwemyocardial infarction, kunogona kuve nekuderera kwakakonzera kuwedzerwa kweropa, kushaya ropa kweropa kune nhengo, kuwedzera kwemwoyo uye kurasikirwa kwekuziva. Ichi chiitiko chinonzi kushushikana kwemoyo. Inowanikwa panguva yakaoma ye myocardial infarction uye mumakumi matanhatu ematambudziko anotungamirira kurufu.
Kushushikana kwehupenyu - zvinokonzera
Zvimwe zvinhu zvinokonzera kukura kwechiitiko ichi, necrosis yemadziro, kuvhara kuruboshwe rwemhepo, kushandiswa zvishoma nezvishoma kwemyocardium, kushaya rwiyo uye aneurysm yakaoma. Kuvhiringidza kwehupenyu kunowanikwa nediki myocardial infarction, kana:
- Kurwadziwa kwemoyo hakuna kuitika kwekutanga uye kunofambidzana nebasa rinowanikwa;
- pane chirongwa chinokanganisa humodynamics.
Cardiogenic shock - classification
Kune marudzi akawanda ehurumende iyi:
- Kushungurudzika kwakanyanya, iyo ndiyo yakasiyana-siyana inotyisa iyo isingabvi pakuparadzwa kwemyocardium, asi inokonzerwa nekutambudzika kunotarisana nehope yemwoyo. Nekukanda panguva yakakodzera, kuwedzera kunomuka, zvisinei kuti kushamiswa kunogona kuitika kuva yechokwadi chetatu.
- Kutya kwechokwadi kunoratidzika muhutano hwemwoyo. Inowanzoitika nekuda kwekurudyi kwechiremera chinonzi ventricular.
- Nzvimbo ine unhu hwayo inenge isingaenzaniswi nehutano hwechokwadi, zvisinei kuti inonyanya kutaurwa uye inogara kwenguva refu. Kuvhiringidzika kwakadaro hakubvumi kurapa uye mu 100% yemhosva inotungamirira kurufu.
- Kutya kweArrhythmic kunowanikwa nekuda kweparoxysm ye tachycardia, iyo inowanikwa mumamiriro ezvinhu eatrioventicular kudzivirirwa.
Kushushikana kwehupenyu - zviratidzo
Mamiriro ezvinhu akazara emuurwere anoonekwa seakaoma. Nokudaro pane zviratidzo zvakadaro:
- kukanganisa kwekuita;
- kumira kwekuziva, kurasikirwa kwayo kunobvira;
- murwere ane njere;
- fog in galaz;
- kurwadziwa shure kwe sternum;
- palpitation;
- chifuva;
- kudonha kudonha mumhepo;
- kukurumidza kufema kufema.
Pakutsvakurudza kwekunze zvinotevera zvakaratidzwa:
- acrocyanosis;
- kureba kweganda;
- skin moisture;
- maoko akadziya netsoka;
- Muchikamu chekupedzisira, necrosis yezvirevo zve nzeve nemhino zvinogona kuonekwa.
Kuvhiringidza kwehupenyu ndiyo yekutanga rubatsiro rwemishonga
Rubatsiro rwekutanga runosanganisira kuchengetedza zororo remugare nekukurumidza kutumira kuchipatara. Vanachiremba vanokwanisa kupa murwere nemhando yezviitiko munzira yekuenda kuchipatara. Izvi zvinogona kuva zvinotevera:
- Bvisa marwadzo ne nitrous oxide.
- Kutanga kwe mezaton (1%) mukati uye cordiamine (10%) inonzi intramuscularly.
- Chirongwa chekutanga chekushaya mwoyo chinokonzerwawo ne kilo-radiotherapy.
- Donhera doro re norepinephrine (2%).
- Kutakura kusagadzikana kwemoyo, kana kushamiswa kunokonzerwa neparoxysmal tachycardia.
Kurapa kwechirwere chemoyo
Therapy inotarisirwa kuchengetedza mabasa eyo marocardium. Kudzivirira ndiyo nzira huru yekurwa.
Kana pane kudonha nokukurumidza mukumanikidzwa, murwere anokonzerwa ne norepinephrine kusvikira kusvitsa kunosvika 90 mm Hg. Zvadaro zvinoshandura kune dopamine, iyo inobatsira chaizvo inokonzera mamiriro ezvinhu, kuwedzera midziyo yekuberekwa, midziyo yeitsvo nedzimwe nhengo dziri mudumbu remuviri.
Tora matanho ekudzivirira anofanira kunge ari muhutano husati wapera:
- Anesthesia ne nitrous oxide, neiroletoanlagezii, electroanalgesia.
- Kuchengetedza chirongwa chekugadziriswa kwechirongwa nekuiswa kwechidocaine, etatsizina uye ornid.
- Kutakura chirwere che fibrinological.
- Kubvisa kukanganisa kwemoyo kuburikidza nekushandisa tsvina, oxygen uye strophanthin.
- Chido chekutanga kutarisirwa nekuchengetwa kwewadi uye zvigadzirwa zvekuchengetedzwa kwemishonga.